Dr. Rohit Jain
Internal Medicine
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Patient's Query
Hi doctor,
I am a CAD patient for the past 10 years with 50% blockage. I have uploaded the image for your reference. I am taking Prolomet XL 50, Monit SR 30, Deplatt A 75, Lipicard 160 and Amixide H. I am suffering from headache since one year. My neurologist prescribed me Tryptomer 10 at first and then changed to Zapiz. But, my headache has not reduced. My scan report is normal. I am in a trouble with this continuous headache. Is it a side effect of my cardiac problem medication? How to get rid of this condition?
I also suffer from mild chest pain. Recently, I had a blood test and all are fine except lipid profile, HDL cholesterol 36 mg/dL, and SGPT 91 U/L. Also, my red cell distribution width is 16.2 and the normal range is 11.6 to 14. So, is my value dangerous? I had Deanxit for 5 years, according to the prescription and stopped before 2 years. Is my heart disease dangerous? Please help me.
Hi,
Welcome to icliniq.com.
I have gone through your query in detail. There are certain things that would need more clarity for a complete diagnosis. First, it is strange that you have a blockage at such young age. I would suggest that you should get yourself revaluated for CAD (coronary artery disease). The possible reason for the headache is your medicine Monit SR (Isosorbide mononitrate) can be a cause of headache. Nitrate headaches are well known and we would need to see if this is the reason in your case. Also, since you have CAD at such a young age, there can be a possibility of carotid artery blockage which might be giving you a headache. Get that evaluated. Also, get a cervical spondylosis ruled out and look for any precipitating factor of migraine. About the medicines you are taking, you are being given the medicines for migraine and CAD. You can consult your doctor and get the medicines changed once we get more investigations done. I suggest you tablet Nucoxia 120 mg (Etoricoxib) two times a day for five days and see if the headache goes off. Revert back with the reports to a cardiologist online.
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Internal Medicine
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